Organization
BACK TO LIFE PT PC
Active
Organization
BACK TO LIFE PT PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHIMAA M HASHEM PT (OWNER)
(347) 294-6669
Entity
Organization
Contact information
Practice address
460 GRAND ST, NEW YORK, NY 10002-4058
(347) 294-6669
Mailing address
460 GRAND ST, NEW YORK, NY 10002-4058
(347) 294-6669
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
10/31/2019
Last updated
04/26/2020
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